NPIMap

Organization Active NPI

Flint Health Enhancements, LLC

Doing business as Jefferson Chiro and Advanced Medical

  • Family Nurse Practitioner
  • Jefferson, GA
National Provider Identifier
1235843483
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FLINT HEALTH ENHANCEMENTS, LLC
Doing business as
Jefferson Chiro and Advanced Medical
Practice address
1057 Winder Hwy
Jefferson, GA 30549-6314
Phone
(706) 708-2277
Fax
(706) 335-3720
NPI assigned
Jan 12, 2023
Last updated
Jan 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Dedra Smith
Title
Office Manager
Phone
(706) 708-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

1057 Winder Hwy
Jefferson, GA 30549-6314

Mailing address

PO Box 578
Commerce, GA 30529-0012
Phone (706) 708-2277

Other names 1

  • Jefferson Chiro and Advanced Medical Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address flinthealthenhancement@proton.me Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230320000568 GA Part B Supplier - Clinic/Group Practice 6103290952 Receives reassigned benefits from 2 practitioners
Practice locations: Jefferson, GA

National Provider Directory

National Provider Directory

Locations

1057 Winder Hwy
Jefferson, GA 30549
Phone (706) 387-0305

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1235843483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305290012",
            "telephone_number": "706-708-2277",
            "fax_number": "706-335-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 WINDER HWY",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496314",
            "telephone_number": "706-708-2277",
            "fax_number": "706-335-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT HEALTH ENHANCEMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-708-2277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "flinthealthenhancement@proton.me",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1057 Winder Hwy",
            "city": "Jefferson",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305496314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jefferson Chiro and Advanced Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Chiro and Advanced Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.